Orange County NC Website
DocuSign Envelope ID:B88A1D41-360D-4202-B502-E623035F9170 <br /> i <br /> STATE OF NORTH CAROLINA <br /> i <br /> AFFIDAVIT t <br /> ORANGE COUNTY <br /> i <br /> r <br /> 1, Randy Strickland (the individual attesting below),being duly authorized by and on behalf of <br /> Strickland Waterproofing Company, Inc. (the entity bidding on project hereinafter"Employer")after first being duly <br /> sworn hereby swears or affirms as follows: <br /> 1. Employer understands that E-Verifyis the federal E-Verify program operated by the United States E. <br /> t <br /> Department of Homeland Security and other federal agencies,or any successor or equivalent program used to verify <br /> the work authorization of newly hired employees pursuant to federal law in accordance with NCGS§64-25(5)_ <br /> 2. Employer understands that Employers Must Use E--Verify. Each employer,after hiring an employee to work <br /> i <br /> in the United States,shall verify the work authorization of the employee through E-Verify in accordance with <br /> NCGS§64-2G(a). <br /> t <br /> 3. Employer is a person, business entity, or other organization that transacts business in this State and that <br /> employs 25 or more employees in this State. (mark Yes or No) <br /> a_ YES X , or <br /> b. NO <br /> z <br /> 4. Employer's subcontractors comply with F-Verify,and if Employer is the winning bidder on this project = <br /> Employer will ensure compliance with E-Verify by any subcontractors subsequently hired by Employer. = <br /> E <br /> This 6th day of August My, 2020 <br /> _ a <br /> F <br /> I <br /> y <br /> /Signature of A is t � <br /> Print or Type Name: Randy Strickland <br /> .J11 f <br /> State of North Carolina,_ County <br /> , I <br /> Signed and sworn to(or affirmed) before me,this the <br /> .�`'OEBOR <br /> _ A/ , <br /> day of 'r 2 n .• .,,........ <br /> Z NO <br /> T <br /> L <br /> 4 h <br /> My Commission Expires: lv . — <br /> f d � 0 /c <br /> rD r •' <br /> Notary Public %� C° .••°''G *.� <br /> '• �UN1Y,N' <br /> 3 <br /> i <br /> G <br />